Notification of the 2024 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review

Notification of the 2024 Dollar Amount in Controversy Required to Sustain Appeal Rights for an Administrative Law Judge Hearing or Federal District Court Review The amount that must remain in controversy for ALJ hearing requests filed on or [...]

MLN Connects® Newsletter: October 12, 2023

MLN Connects® Newsletter: October 12, 2023     News CMS Roundup (Oct 6, 2023) Protect Your Patients: Give Them a Flu Shot Publications Direct Data Entry: 10-Digit Screen Expansion Medicare Preventive Services — [...]

Let’s Get Ready for The Great American Smokeout on 11/16/2023!

Let’s Get Ready for The Great American Smokeout on 11/16/2023! For more than 40 years, the American Cancer Society has hosted the Great American Smokeout on the third Thursday of November. This yearly event is a call for action, not just for [...]

Prior Authorization Exemption Process FAQ

Prior Authorization Exemption Process FAQ How many days notice will I receive before I switch from PAR submissions to an exemption cycle? Answer: MACs will provide a 60-day notice prior to any transition period, continuation, or withdrawal [...]

NGSConnex User Guide

Initiate a Claim Status Lookup

Initiate a Claim Status Lookup Click the Claim Status Lookup button from the NGSConnex homepage. In the Select a Provider panel, click the Select button next to the applicable provider account. To search for claims use the filter [...]

Check Status of Prior Authorization Requests

CMS Newsroom

CMS Newsroom CMS Newsroom Homepage

Tip Sheet #2

National Government Services Office of Congressional Affairs Inquiry: Tip Sheet #2 Tips for a Congressional Inquiry to Move Forward Without Delay Each congressional inquiry includes a ‘Consent for Release’ form of Medicare personal records [...]

Reopening Not Appropriate to Change Diagnosis on Paid Claims

Reopening Not Appropriate to Change Diagnosis on Paid Claims National Government Services periodically receives reopening requests to change the diagnosis on a paid claim.  Submitting a new, or corrected diagnosis on a claim that has [...]

MLN Connects® Newsletter for Thursday, December 2, 2021

MLN Connects® Newsletter for Thursday, December 2, 2021 National Influenza Vaccination Week News National Influenza Vaccination Week Clinical Laboratory Fee Schedule: CY 2022 Final Payment Determinations Skilled Nursing Care & [...]

MLN Connects® Special Edition for Friday, January 7, 2022

MLN Connects® Special Edition for Friday, January 7, 2022 COVID-19: New HCPCS Code for Remdesivir Antiviral Medication Following the recent statement from the National Institutes of Health (NIH) COVID-19 Treatment Guidelines Panel regarding [...]

MLN Connects® Newsletter for Thursday, February 3, 2022

MLN Connects® Newsletter for Thursday, February 3, 2022 Provider Compliance Virtual Focus Group — February 24 News COVID-19: Letter to Health Care Facility Administrators on Health Care Worker Vaccination Rule COVID-19 Vaccine & [...]

MLN Connects® Newsletter for Thursday, February 17, 2022

MLN Connects® Newsletter for Thursday, February 17, 2022 Expanded Coverage: Lung Cancer Screening with Low Dose Computed Tomography News CMS Expands Coverage of Lung Cancer Screening with Low Dose Computed Tomography There’s Still Time [...]

MLN Connects® Special Edition for Friday, February 18, 2022

MLN Connects® Special Edition for Thursday, February 18, 2022 COVID-19 Monoclonal Antibodies: FDA Authorized Bebtelovimab On February 11, the FDA authorized the emergency use of the monoclonal antibody bebtelovimab for the treatment of [...]

MLN Connects® Newsletter for Thursday, February 24, 2022

MLN Connects® Newsletter for Thursday, February 24, 2022 CMS Released Skilled Nursing Facility & ESRD Web Pricers News Podiatry Nail Debridement & Evaluation and Management Services: Comparative Billing Report Skilled Nursing [...]

MLN Connects® Newsletter for Thursday, March 17, 2022

MLN Connects® Newsletter for Thursday, March 17, 2022 Kidney Health: Help Address Disparities News Medicare Shared Savings Program: Application Deadlines for January 1, 2023, Start Date Kidney Health: Help Address Disparities Claims, [...]

MLN Connects® Newsletter for Thursday, February 10, 2022

MLN Connects® Newsletter for Thursday, February 10, 2022 COVID-19: New HCPCS Code for Convalescent Plasma in Outpatient Setting News COVID-19: New HCPCS Code for Convalescent Plasma in Outpatient Setting Long-term Care Hospital [...]

MLN Connects® Newsletter for Thursday, January 20, 2022

MLN Connects® Newsletter for Thursday, January 20, 2022 COVID-19: Long-term Care, RHCs, & FQHCs   News COVID-19: Vaccine Access in Long-term Care Settings There’s Still Time: Recommend the Flu Shot Chiropractic Treatment of [...]

Save the Dates: National Government Services 2022 Spring Virtual Conference!

Save the Dates! National Government Services 2022 Spring Virtual Conference! Medicare for You 5/11/2022 – 5/12/2022 “Seasons change, and so do we.” - Nikkiche We also see many changes occur in Medicare. We want our provider community to have [...]